Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.03 / $119.88 / $128.16	Professional		$95.03	$119.88	$128.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $121.12 / $169.30	Professional		$83.90	$121.12	$169.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $111.60 / $146.60	Facility		$80.00	$111.60	$146.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $144.91 / $167.16	Professional		$98.54	$144.91	$167.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $78.00	Professional		$30.00	$30.00	$78.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.55 / $135.32 / $202.03	Facility		$128.55	$135.32	$202.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $132.81 / $152.03	Professional		$107.95	$132.81	$152.03
United Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $129.60 / $168.21	Professional		$98.79	$129.60	$168.21